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Individual

SIMON GEORGE TABCHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
2895 HAMILTON BLVD STE 101, ALLENTOWN, PA 18104-6172
(610) 330-9740
(610) 432-4887
Mailing address
2895 HAMILTON BLVD STE 101, ALLENTOWN, PA 18104-6172
(610) 330-9740
(610) 432-4887

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006386
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1030474980002
PA
Enumeration date
06/16/2012
Last updated
03/10/2020
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